| Dr Joseph West, MD | |
|
30 Halter Dr, Powdersville, SC 29673-6741 | |
| (864) 272-0388 | |
| Not Available |
| Full Name | Dr Joseph West |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 30 Halter Dr, Powdersville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861503146 | NPI | - | NPPES |
| RHC188 | Other | SC | RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 10366 (South Carolina) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | Moncks Corner Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003070103 PECOS PAC ID: 5597824797 Enrollment ID: O20090423000571 |
| Entity Name | Musc Affiliate Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700465648 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph West, MD 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 Ph: (864) 272-0388 | Dr Joseph West, MD 30 Halter Dr, Powdersville, SC 29673-6741 Ph: (864) 272-0388 |
Dr. Sarah Elizabeth Evins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Halter Dr, Powdersville, SC 29673 Phone: 864-272-0388 Fax: 864-213-9237 |